Skip to main content
SpringerLink
Log in

Growing burr hole: enlarging pseudomeningocele at the site of a craniostomy

  • Case Report
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

Background

Growing skull fractures and other enlarging skull defects are rare postoperative occurrences. We report here on a 10-month-old girl who presented with an enlarging burr hole and pseudomeningocele after an endoscopic third ventriculocisternostomy.

Methods

Evaluation of an enlarging subcutaneous mass at the site of the burr hole included computed tomography scans and magnetic resonance imaging, which revealed a pseudomeningocele. The patient underwent repair of the lesion, including dural closure and cranioplasty.

Conclusions

Growing skull fractures or other enlarging bone defects may occur after burr hole placement, particularly in infants who require larger access sites for endoscopy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Lende RA, Erickson TC (1961) Growing skull fractures of childhood. J Neurosurg 18:479–489

    CAS  PubMed  Google Scholar 

  2. Lenthall R, Penney C (1999) Growing skull fracture extending posteriorly to the superior sagittal sinus with intradiploic extension. Br J Radiol 72:714–716

    CAS  PubMed  Google Scholar 

  3. Naim-Ur-Rahman, Jamjoom Z, Jamjoom A, Murshid WR (1994) Growing skull fractures: classification and management. Br J Neurosurg 8:667–679

    CAS  PubMed  Google Scholar 

  4. Papaefthymiou G, Oberbauer R, Pendl G (1996) Craniocerebral birth trauma by vacuum extraction: a case of growing skull fracture as a perinatal complication. Childs Nerv Syst 12:117–120

    CAS  PubMed  Google Scholar 

  5. Parmar RC, Bavdekar SB (2000) Images in radiology: type III growing skull fracture. J Postgrad Med 46:130–131

    CAS  PubMed  Google Scholar 

  6. Rinehart GC, Pittman T (1998) Growing skull fractures: strategies for repair and reconstruction. J Craniofac Surg 9:65–72

    CAS  PubMed  Google Scholar 

  7. Scarff TB, Fine M (1985) Growing skull fractures of childhood. In: Wilkins RH, Rengachary S (eds) Neurosurgery. McGraw-Hill, New York, pp 1627–1628

  8. Sener RN (1995) Growing skull fracture in a patient with cerebral hemiatrophy. Pediatr Radiol 25:64–65

    CAS  PubMed  Google Scholar 

  9. Tenner MS, Stein BM (1970) Cerebral herniation in the growing fracture of the skull. Radiology 94:351–355

    CAS  PubMed  Google Scholar 

  10. Yamamoto M, Moore MH, Hanieh A (1998) Growing skull fracture after cranial vault reshaping in infancy. J Craniofac Surg 9:73–75

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, New York Medical College, Valhalla and New York, NY 10595, USA

    David H. Harter, Ronald Swanger & Michael Tenner

  2. Department of Radiology, New York Medical College, Valhalla and New York, NY 10595, USA

    Michael Tenner

Authors
  1. David H. Harter
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ronald Swanger
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Michael Tenner
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to David H. Harter.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Harter, D.H., Swanger, R. & Tenner, M. Growing burr hole: enlarging pseudomeningocele at the site of a craniostomy. Childs Nerv Syst 20, 127–130 (2004). https://doi.org/10.1007/s00381-003-0856-4

Download citation

  • Received:

  • Revised:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-003-0856-4

Keywords

Search

Navigation